Stephens County Hospital
163 Hospital Drive, Toccoa, Georgia 30577
We offer equal opportunity for employment to all applicants without regard to race, creed, age, color, religion, sex, Vietnam era status, military status, disability, and national origin. In reading and answering the following questions, please keep in mind that none of the questions are intended to imply any limitations, preference, or discrimination based upon any non-job related information.
Have you ever been convicted of any felony or crime other than a minor traffic violation? (Include convictions afforded "First Offender Status," and any convictions for driving under the influence of drugs or alcohol. Criminal convictions are not considered an absolute bar to employment; the conviction and the circumstances will be considered in relation to specific job requirements.)
I hereby certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind. I agree that Stephens County Hospital shall not be liable in any repsect if my employment is terminated because of the falsity of statements, answers, or omissions made by me in this application.
I grant permission to check my references regarding my employment or educations credentials and related matters. I understand that this information will be used soley for the purpose of determining my qualifications for employment with Stephens County Hospital.
I hereby release from liability all previous employers, education institutions, and named personal references for releasing this information to Stephens County Hospital. I also release Stephens County Hospital from liability in using this information in making employment decisions.
I also understand and agree that as a condition of becoming employed, I will be requried to pass a pre-employment health screen including a drug/alcohol test. As an inducement for consideration of my application, I hereby consent to said tests and procedures, and release Stephens County Hospital, and any laboratory or laboratory personnel (whether or not employed by Stephens County Hospital), from all liability which might arise from their administration of such tests, examinations or procedures, including their reporting of the results of any such screenings, examinations, or tests procedures to Stephens County Hospital.
I further understand and agree that if hired, my employment is at will, for no definite period of time, that it may be terminated at any time, and that my (including wage rates or benefits described in any handbook, job description, or personnel manual) either with or without prior notice to me, and that such changes will become effective and shall govern my employment rights as soon as they are adopted. In addition, if accepted for employment, I agree to abide by the rules and policies of my employer.
I hereby represent to Stephens County Hospital that I am legally entitled to accept employment within the United States.